dc.contributor.author | Langaas, Harald Chr. | |
dc.contributor.author | Salvesen, Øyvind Olav | |
dc.contributor.author | Dyrkorn, Roar | |
dc.contributor.author | Blix, Hege Salvesen | |
dc.contributor.author | Spigset, Olav | |
dc.date.accessioned | 2023-10-31T09:54:32Z | |
dc.date.available | 2023-10-31T09:54:32Z | |
dc.date.created | 2023-06-30T12:56:30Z | |
dc.date.issued | 2023 | |
dc.identifier.issn | 0281-3432 | |
dc.identifier.uri | https://hdl.handle.net/11250/3099677 | |
dc.description.abstract | Objective
To investigate the effect of an academic detailing intervention on the utilisation of type 2 diabetes medication among general practitioners.
Design
We developed an academic detailing campaign based on the revised national treatment guideline for diabetes and the best available evidence. General practitioners were offered a 20-minute one-to-one visit by a trained academic detailer.
Setting and subjects
A total of 371 general practitioners received a visit and represented the intervention group. The control group consisted of 1282 general practitioners not receiving a visit.
Main outcome measures
Changes in prescribing from 12 months before to 12 months after the intervention. The primary endpoint was a change in metformin. Secondary endpoints were changes in other groups of Type 2 diabetes medication and of these drugs in total.
Results
Prescribing of metformin increased by 7.4% in the intervention group and 5.2% in the control group (p = .043). Sodium-glucose cotransporter-2 inhibitors increased by 27.6% in the intervention group and 33.8% in the control group (p = .019). For sulfonylureas there was a decrease of 3.6% in the intervention group vs. 8.9% in the control group (p = .026). The total amount of prescribed medications for type 2 diabetes increased by 9.1% in the intervention group and 7.3% in the control group (p = .08).
Conclusion
Academic detailing initiated a small but statistically significant increase in the prescription of metformin. For a complex subject like type 2 diabetes, we recommend reserving more time in the visit than the 20 min our campaign aimed for. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | Informa UK Ltd. | en_US |
dc.rights | Navngivelse-Ikkekommersiell 4.0 Internasjonal | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc/4.0/deed.no | * |
dc.title | Academic detailing as a method to improve general practitioners’ drug prescribing in type 2 diabetes: evaluation of changes in prescribing | en_US |
dc.title.alternative | Academic detailing as a method to improve general practitioners’ drug prescribing in type 2 diabetes: evaluation of changes in prescribing | en_US |
dc.type | Peer reviewed | en_US |
dc.type | Journal article | en_US |
dc.description.version | publishedVersion | en_US |
dc.source.volume | 41 | en_US |
dc.source.journal | Scandinavian Journal of Primary Health Care | en_US |
dc.source.issue | 3 | en_US |
dc.identifier.doi | 10.1080/02813432.2023.2222781 | |
dc.identifier.cristin | 2159863 | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |